Re-osseointegration of Dental Implants After Periimplantitis Treatments

Madi, Marwa; Htet, Moe; Zakaria, Osama; Alagl, Adel S.; Kasugai, Shohei

doi:10.1097/id.0000000000000712

Cited by 37 publications

(54 citation statements)

References 28 publications

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“…It was concluded that better results were obtained at rough surfaces compared to turned surfaces and when regenerative therapy was added to the mechanical debridement. However, similar to the present study, re‐osseointegration was also obtained when no regenerative techniques were applied …”

Section: Discussionsupporting

confidence: 89%

“…The results obtained in the present experiment regarding the gain in coronal bone level are in agreement with the outcomes from other experimental studies on peri‐implantitis treatment. In a recent systematic review on experimental studies on peri‐implantitis treatments, data on re‐osseointegration from 15 studies were analyzed. It was concluded that better results were obtained at rough surfaces compared to turned surfaces and when regenerative therapy was added to the mechanical debridement.…”

Section: Discussionmentioning

confidence: 99%

“…However, similar to the present study, re-osseointegration was also obtained when no regenerative techniques were applied. 17 Indeed, a series of experiments were performed in dogs on periimplantitis treatment without the use of regeneration procedures.…”

Section: Discussionmentioning

confidence: 99%

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Use of TiBrush for surface decontamination at peri‐implantitis sites in dogs: Radiographic and histological outcomes

Viganó¹,

Alccayhuaman²,

Sakuma³

et al. 2018

J of Invest & Clin Dent

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Aim The aim of the present study was to evaluate the efficacy on the healing of mechanical decontamination of infected implant surfaces performed with a titanium brush. Methods Mandibular premolars and first molars were extracted bilaterally in six dogs. After 3 months, two unsubmerged implants were installed on both sides of the mandible. Three months later, peri‐implantitis was induced with ligatures for 3 months and then removed. After 1 month, surgical mechanical decontamination of the surfaces was performed either with a rotatory titanium brush or gauzes soaked in saline. Five month later, biopsies were retrieved. Evaluations on X‐rays taken of the mesiodistal plane and on histological slides prepared in a buccal‐lingual plane were performed. Results After the induction of peri‐implantitis, a mean marginal bone loss of 2.6 ± 0.6 mm and 1.9 ± 1.0 mm was observed in the brush and gauze groups by X‐ray, respectively. Five months after treatment, a mean gain of marginal bone of 0.6 mm was obtained in both groups. The mean closures of the vertical and horizontal defects were 0.6 mm and 0.6 mm for the brush group, and 0.8 mm and 0.5 mm for the gauze group, respectively. Histologically, a loss of attachment at the buccal aspect of 2.2 ± 0.9 mm in the brush group and of 2.3 ± 0.5 mm in the gauze group was found. No statistically‐significant differences were found after the treatment. Conclusions Mechanical implant surface decontamination performed with a rotatory titanium brush resulted in a marginal bone level gain, yielding a low content of inflammatory infiltrate close to the marginal bone.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Use of TiBrush for surface decontamination at peri‐implantitis sites in dogs: Radiographic and histological outcomes

Viganó¹,

Alccayhuaman²,

Sakuma³

et al. 2018

J of Invest & Clin Dent

View full text Add to dashboard Cite

show abstract

“…However, when the goal is re‐osseointegration, the disinfected implants will be submerged, and the bone defects will be augmented. In these cases, preserving the rough surface is needed, therefore, applying an instrument with the least potential for smoothing the surface becomes favorable …”

Section: Discussionmentioning

confidence: 67%

“…In these cases, preserving the rough surface is needed, therefore, applying an instrument with the least potential for smoothing the surface becomes favorable. 93,94 Qualitative evaluation is a conventional method for measuring the changes in surface morphology. Most of the included studies in this review used SEM to describe surface morphology.…”

Section: Implantitis Irreversible Vertical Bone Loss Occurs Which Rementioning

confidence: 99%

Effects of air abrasive decontamination on titanium surfaces: A systematic review of in vitro studies

Moharrami¹,

Perrotti

Iaculli

et al. 2019

Clin Implant Dent Rel Res

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Background Air abrasion (AA) is one of the decontamination methods that have demonstrated promising results in treating peri‐implant diseases. Purpose This systematic review aimed at evaluating the in vitro effect of AA on surface change, cleaning efficacy, and biocompatibility of titanium surfaces and at comparing it with other decontamination methods. Materials and Methods A comprehensive search was conducted up to April 2018 using PubMed, Scopus, and Google Scholar databases to identify studies on the decontamination effect of AA. All types of titanium surfaces, abrasive powders, contaminated surfaces, and measuring methods were included. Results Overall, 1502 articles were identified. After screening the titles and abstracts, and carefully reading the full‐texts, 48 articles published between 1989 and 2018 were selected. AA was considered almost safe, particularly for the nonmodified surfaces. Nevertheless, harder powders such as sodium bicarbonate tended to damage the surface more than glycine. AA resulted in surface change similar to plastic curettes and Er: YAG lasers. Regarding the cleaning efficacy, there was no significant difference between glycine and sodium bicarbonate, but different mixtures of calcium phosphate, hydroxyapatite, and erythritol were superior to glycine. AA was superior or equal to all other decontamination methods in cleaning. Regarding biocompatibility, AA was more successful in preserving biocompatibility for noncontaminated surfaces compared with contaminated surfaces and when used with erythritol and osteoinductive powders. Conclusions AA can efficiently remove contamination without serious damage to the surface. The main drawback of the AA method seems to be its limitation in restoring the biocompatibility of the surface.

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Rational Designs of Biomaterials for Combating Oral Biofilm Infections

Yin,

Liu,

Anniwaer

et al. 2023

Advanced Materials

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Oral biofilms, which are also known as dental plaque, are the culprit of a wide range of oral diseases and systemic diseases, thus contributing to serious health risks. The manner of how to achieve good control of oral biofilms has been an increasing public concern. Novel antimicrobial biomaterials with highly controllable fabrication and functionalization have been proven to be promising candidates. However, previous reviews have generally emphasized the physicochemical properties, action mode, and application effectiveness of those biomaterials, whereas insufficient attention has been given to the design rationales tailored to different infection types and application scenarios. To offer guidance for better diversification and functionalization of anti‐oral‐biofilm biomaterials, this review details the up‐to‐date design rationales in three aspects: the core strategies in combating oral biofilm, as well as the biomaterials with advanced antibiofilm capacity and multiple functions based on the improvement or combination of the abovementioned antimicrobial strategies. Thereafter, insights on the existing challenges and future improvement of biomaterial‐assisted oral biofilm treatments are proposed, hoping to provide a theoretical basis and reference for the subsequent design and application of antibiofilm biomaterials.This article is protected by copyright. All rights reserved

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Re-osseointegration of Dental Implants After Periimplantitis Treatments

Abstract: Promising results were observed in the studies that used combination of bone substitutes together with guided bone regeneration for the regenerative therapy. Regarding implant surfaces, better re-osseointegration was observed with rough implant surfaces rather than smooth ones.

Cited by 37 publications

References 28 publications

Use of TiBrush for surface decontamination at peri‐implantitis sites in dogs: Radiographic and histological outcomes

Use of TiBrush for surface decontamination at peri‐implantitis sites in dogs: Radiographic and histological outcomes

Effects of air abrasive decontamination on titanium surfaces: A systematic review of in vitro studies

Rational Designs of Biomaterials for Combating Oral Biofilm Infections

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